Healthcare Provider Details

I. General information

NPI: 1932010675
Provider Name (Legal Business Name): MIRANDA HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 173 KM 6.5 SECTOR SAN JOSE BARRIO RABANAL
CIDRA PR
00739
US

IV. Provider business mailing address

PO BOX 737
CAGUAS PR
00726-0737
US

V. Phone/Fax

Practice location:
  • Phone: 787-509-0029
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: NATHALIE ANN MIRANDA FIGUEROA
Title or Position: OWNER/MANAGER
Credential: MD
Phone: 939-246-2448